Determinants of maternal near miss events: a facility based case-control study

Authors

  • Mahesh D. Kurugodiyavar Department of Community Medicine, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India
  • Kashavva B. Andanigoudar Department of Community Medicine, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India
  • Dattatreya D. Bant Department of Community Medicine, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India
  • Manjunath S. Nekar Department of Community Medicine, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20193497

Keywords:

Maternal near-miss events, Type of family, Case-control study, Admission to ICU

Abstract

Background: Worldwide, approximately 830 women died every single day due to complications during pregnancy or childbirth in 2015. Many researchers revealed that the quality of health care delivery in a system can be identified by studies on maternal deaths. In recent years, women who survived the critical events during pregnancy and childbirth, called as maternal near miss cases, are explored as an adjunct to maternal death inquiries, as these cases occur more frequently than maternal deaths and can identify problems that had to be overcome for the provision of better healthcare services. This study aims at evaluating determinants of such maternal near miss events among postnatal women admitted in KIMS Hospital, Hubli.

Methods: A case-control study was done on postnatal women admitted in the KIMS Hospital. A structured pre-tested questionnaire was administered to 82 participants (27 cases and 55 controls). Information about biodata, sociodemographic characteristics, medical illnesses, previous pregnancies and the current pregnancy with its outcomes and complications was collected.

Results: Most women were satisfying the criterion for admission to ICU followed by hypertensive complications and severe anemia, to be considered as cases. The study showed height, type of family, religion, presence of danger signs during pregnancy as significant determinants of maternal near miss events.

Conclusions: The factors showing significance in our study are non-modifiable risk factors of maternal near miss events. With early identification of such cases and appropriate antenatal care, such events can be prevented and reduced.

Author Biography

Mahesh D. Kurugodiyavar, Department of Community Medicine, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India

Post Graduate in the Department of Community Medicine, Karnataka Institute of Medical Sciences (KIMS), Hubballi

References

Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367(9516):1066–74.

Lomazzi M, Borisch B, Laaser U. The Millennium Development Goals: Experiences, achievements and what’s next. Glob Health Action. 2014;7(1):1–9.

WHO, UNICEF, UNFPA, Group WB, UNPD. Trends in Maternal Mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Organization. 2015: 1–38. Available at: http://whqlibdoc.who.int/publications/2010/9789241500265_eng.pdf. Accessed on 3 June 2019.

Souza JP, Cecatti JG, Haddad SM, Parpinelli MA, Costa ML, Katz L, et al. The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity. PLoS One. 2012;7(8).

Tunçalp Ö, Hindin MJ, Adu-Bonsaffoh K, Adanu RM. Assessment of maternal near-miss and quality of care in a hospital-based study in Accra, Ghana. Int J Gynecol Obstet. 2013;123(1):58–63.

Suhurban SA, Nambisan B, Lekshmikutty ST, Brahmanandan M, Radha S. Determinants of near-miss mortality in a tertiary care centre. 2017;6(2):470–8.

World Health Organization. The WHO near-miss approach for maternal health. 2011;29. Available at: http://apps.who.int/iris/bitstream/10665/44692/1/9789241502221_eng.pdf. Accessed on 3 June 2019.

Government of India. Maternal near miss review. Operational Guidelines Maternal Health Division Ministry of Health and Family Welfare Government of India. 2014;12:1–46.

Pujitha KS, Sheela SR, S NJ. A study of maternal and fetal outcome in cardiac disease in pregnancy at tertiary care center. Int J Reprod Contracept Obstet Gynecol. 2017;6(11):5095–8.

Sadiq AA, Poggensee G, Nguku P, Sabitu K, Abubakar A, Puone T. Factors associated with adverse pregnancy outcomes and perceptions of risk factors among reproductive age women in Soba LGA, Kaduna State 2013. Pan Afr Med J. 2016;25:1–8.

Assarag B, Dujardin B, Delamou A, Meski FZ, De Brouwere V. Determinants of maternal near-miss in Morocco: Too late, too far, too sloppy? PLoS One. 2015;10(1):1–15.

International Federation of Gynecology and Obstetrics. A, Adam IF. International journal of gynaecology and obstetrics. Int J Gynecol Obstet. 2016;133(2):221–5.

Naik J, Kumar R, Mathurkar M, Jain S, Jailkhani S, Thakur MS. Sociodemographic determinants of pregnancy outcome: a hospital-based study. Int J Med Sci Public Heal. 2016;5(9):1937–41.

Victor J, Cabral DES, Medeiros J, Silva DA, De Medeiros LF, Aparecida M et al. Socioeconomic Factors Associated With The Maternal Near-Miss In A Intensive Care Unit In Brazil. 2016;(4):156–8.

Liyew EF, Yalew AW, Afework MF. Incidence and causes of maternal near-miss in selected hospitals of Addis Ababa, Ethiopia. PLoS One. 2017;12(6):1–13.

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Published

2019-07-26

How to Cite

Kurugodiyavar, M. D., Andanigoudar, K. B., Bant, D. D., & Nekar, M. S. (2019). Determinants of maternal near miss events: a facility based case-control study. International Journal Of Community Medicine And Public Health, 6(8), 3614–3620. https://doi.org/10.18203/2394-6040.ijcmph20193497

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Section

Original Research Articles